A PERSPECTIVE FROM PROVIDERS
|
|
- Maurice Cannon
- 6 years ago
- Views:
Transcription
1 1 WHAT THE HEALTH SECTOR NEEDS TO IMPLEMENT BEST PRACTICES FOR ASTHMA: A PERSPECTIVE FROM PROVIDERS COORDINATED BY: POLLY HOPPIN, SC.D, Lowell Center for Sustainable Production, School of Health and Environment, University of Massachusetts, Lowell LAURIE STILLMAN, MM, Asthma Regional Council of New England at The Medical Foundation DRAFTING COMMITTEE: Polly Hoppin, Sc.D and Laurie Stillman, Stephanie Chalupka, EdD, APRN, BC, CNS, FAAOHN, University of Massachusetts, Lowell; Francis Duda, MD, Baystate Children s Hospital; Shari Nethersole, MD and Lisa Mannix, Children s Hospital Boston; Margaret Reid, RN, Boston Public Health Commission; Elaine Erenrich Rosenburg, Asthma and Allergy Foundation of America, New England Chapter; Matthew Sadof, MD, Baystate Children s Hospital; and Megan Sandel, MD, MPH, Boston Medical Center.
2 WHAT THE HEALTH SECTOR NEEDS TO IMPLEMENT BEST PRACTICES FOR ASTHMA: A PERSPECTIVE FROM PROVIDERS In a process beginning in March 2008, Massachusetts nurses and doctors came together, facilitated by the Asthma Regional Council and University of Massachusetts Lowell, to discuss the urgent need for action to reduce the burden of asthma. We work in hospitals, large and small practices, community health centers and schools. Some of us are primary care practitioners; others are specialists, program directors and researchers. Taking into account the recent update of the National Asthma Management Guidelines and our experience with a range of programs to support patients in keeping their asthma under control, and with particular focus on the disproportionate impact of asthma on low income people and racial and ethnic minorities, we concurred that immediate steps by institutions paying for and providing care must occur to more widely implement best practices and begin to reverse the asthma epidemic. Our consensus recommendations are grounded in the following realities, well-established in the literature and via public health surveillance: Effective implementation of best practices for asthma requires interventions in three areas: 1) clinical care; 2) patient and provider education; 3) work, home, school and community environments. It also requires coordination and integration of these services, and ready access to relevant data. Asthma is a persistent problem with disparate burdens that need to be proactively addressed. Populations that suffer disproportionately include low-income people, some minorities, and the elderly. Best practices that implement the National Asthma Management Guidelines (NAEPP) can decrease the frequency of asthma attacks, as well as high costs associated with asthma care. Best practices can occur in a variety of settings, but include the establishment of a Medical Home for patients with asthma. A Medical Home provides health care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective. 1 The Chronic Care Model, which identifies change concepts for elements of the health care system essential to high-quality chronic disease care and encourages patients to take an active role in their care, is a useful framework for effective management of asthma It is increasingly understood and accepted that successful prevention and management of chronic disease requires action at multiple levels to address medical, social and environmental factors. A Medical Home is a partnership with patients and families that promotes access to all of needed services and community supports. Providing a Medical Home requires change on a systems level, including practice changes as well as improved communication and collaboration with patients, families, schools, specialists, and community agencies. An important step in promoting the Medical Home in healthcare is the joint statement by the American Academy of Family Physicians, American College of Physicians, American Osteopathic Association and American Academy of Pediatrics: Joint Principles of the Patient-Centered Medical Home. (March, 2007, PDF file: 3 pages.) 2 See Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice 1998;1:2-4 Additional information is at
3 Many people with asthma are not receiving the interventions and services they need. There are a variety of reasons for this, many of which can be addressed with concerted action. They include: insufficient and inconsistent reimbursement policies and practices especially in regard to education and home-based services; expensive controller medications; gaps in training and knowledge among providers; lack of a reliable supply of services and materials for interventions outside of the doctor s office; lack of electronic decision support and clinical information systems; low expectations for asthma control by patients and their families, and a lack of proactive case management services for those at highest risk and need. We call on payers, health systems, our provider colleagues, public agencies and the legislature to take the following steps to align policies and programs with best practices and provide needed resources. We are confident that action on the recommendations that follow will result in the delivery of high quality prevention-oriented health care, cost-savings, and improvements in quality of life for thousands of people with asthma. 3 RECOMMENDATIONS FOR PAYERS Through policies and programs, payers have a central role to play in promoting and supporting best practices for asthma. Decisions to reimburse for necessary services and supplies known to benefit patients and shown increasingly to be cost-effective are paramount, but payers can also provide direct services, and establish incentives and support for multi-faceted quality care. Align payment for, and facilitate access to, services and medications consistent with the National Asthma Education and Prevention Program (NAEPP) Expert Panel Guidelines. Payers should be knowledgeable about these Guidelines and provide incentives for providers and patients to follow them. Currently there are financial barriers to patients receiving proper care to control their disease. These include unaffordable co-payments for medications and lack of consistent reimbursement policies and practices that would allow for clinicians to directly, or via referral, provide needed specialty consultation, case management, educational and environmental services in a variety of settings. Recommendations to support best practices for each of the Guideline components are: Measures of assessment and monitoring. To promote correct diagnosis and monitoring of symptoms, payers should help providers secure appropriate equipment and reimburse sufficiently for: o pulmonary function testing, conducted in laboratories or in a clinical setting o peak flow meters for those patients for whom peak flow is a reliable indicator of asthma control. Education for a partnership in asthma care. Payers should provide and/or reimburse for asthma education, including:
4 o o o o longer office visits with primary care providers mechanisms for proactive follow-up case management for high risk patients reinforcement sessions with asthma educators in the clinic, home, school, workplace, or community. 4 Control of environmental factors and co-morbid conditions that affect asthma. Payers should reimburse for environmental services and supplies in the home as appropriate and needed 3. They should also remove financial barriers and promote coordination and collaboration among providers caring for patients with other conditions that affect asthma, such as obesity and allergies. Pharmacologic therapy. To enable people with asthma to secure needed medications, payers should: o Reduce or eliminate co-pays, and/or redesign drug formularies to ensure that brand name drugs needed by the patient and/or for which there are no generic alternatives are placed in a lower-cost category. o Reimburse for multiple prescriptions for inhalers, so patients can have them at school, at work, and at more than one home, in cases where they live in more than one place. Reimburse and facilitate billing for multiple kinds of providers most appropriate for a given setting and service, where evidence shows effectiveness and providers meet high standards. Providers could be practicing in a clinic, home, workplace, community or school. Work with health systems to establish robust disease management programs, based on a chronic disease model of care, that include: asthma registries, which are repositories of relevant information on individual patients and groups of patients that can be accessed and used by the range of caregivers involved in managing a patient s asthma clinical decision-support mechanisms that help providers make treatment decisions against benchmarks for best practices case managers based in clinical practice settings who coordinate care. Help establish and promote organizations that provide comprehensive asthma management services to ensure sufficient supply. Support and participate in the development of: o pilot projects and/or organizations that deliver comprehensive asthma management. Track cost and health benefits to inform decision-making about longer-term investments o collaborative efforts to establish standards and provide training so that services are of high quality. Encourage referrals to organizations that provide comprehensive asthma management services. 3 e.g., smoking cessation programs and associated pharmacotherapy; mattress/pillow covers; HEPA air and vacuum filters; home assessments; integrated pest management supplies and, where needed, professional services.
5 5 RECOMMENDATIONS FOR PROVIDERS & HEALTH SYSTEMS Through their practices, and through programs and policies of organizations in which they work (e.g., health delivery systems, community health centers, schools, hospitals), providers play a key role in promoting the implementation of best practices. Ensure full understanding and implementation among providers of the NAEPP Guidelines and the research and practice literature on promising interventions. Primary care and other providers should take advantage of professional education opportunities for keeping current on the latest science on best practices, including: diagnosis criteria the importance of pulmonary function testing and interpretation of results; appropriate medications the benefits of asthma education the potential for home visits to benefit patients whose asthma is not well-controlled the role of workplace exposures in asthma onset and exacerbation. Promote quality improvement measures that improve assessment and control of asthma, in particular: Promote and use disease management tools including asthma registries and clinical decision-support mechanisms (see above). Connect patients with case managers who help them gain access to the referrals, services and community resources they may need (e.g., mental health; legal services). Use spirometry appropriately and on a regular basis, and take time to demonstrate and/or recheck proper use of inhaler devices. Use written asthma management plans. Offer flu shots. Communicate with the patient s regular care providers for timely and appropriate follow-up when urgent care is utilized. Initiate and maintain communication with the patient s school nurse. Offer to assist patients in communications with their employers about options for reducing exposure to asthma triggers in the workplace. Ensure that staff and those to whom patients are referred are appropriately trained and culturally competent. Seek patient and family input, via a Family Advisory Board, for example. Facilitate patients access to asthma education, home visiting, environmental intervention services and supplies, and workplace exposure information as appropriate and needed. Provide or facilitate patients access to asthma education and proactive follow-up. Make available materials that are in the language of the patient and appropriate for low literacy levels and varied learning styles.
6 Make referrals to case management and home-based services, materials and supplies to reduce home triggers on behalf of patients who could benefit. Request insurance coverage for those services that are not routinely reimbursed by payers. Inquire about workplace exposures that could be related to a patient s asthma and assist him or her in resolving an identified problem so s/he is no longer exposed. Report cases of work-related asthma to the Department of Public Health. 6 RECOMMENDATIONS FOR PUBLIC AGENCIES Public agencies at the local, state and federal levels can play important roles in mitigating the social and environmental conditions that contribute to asthma, and in promoting best practices. While public agencies can carry out some of the same functions as medical practitioners, they are uniquely capable of establishing population-level approaches and capacity for implementing particular kinds of interventions. They can also take leadership in reducing the fragmentation of health care delivery and financing, which often undermines quality of care. The recommendations that follow envision partnerships between public agencies, payers, providers/health systems, schools and community organizations. The Departments and Divisions within the The Massachusetts Executive Office of Health and Human Services and other state agencies, along with non-governmental health care financing and health quality organizations and in conjunction with the legislature where resources are needed, should work together to strengthen capacity for preventive services that pay particular attention to highest need populations. More specifically, relevant agencies should aspire to: Pursue opportunities for better tracking of statistics on asthma and asthma management services to fill important gaps in information, such as trends in the quality of implementation of the NAEPP Guidelines. Potential tracking initiatives could include: encouraging data sharing among public agencies as appropriate and needed; expanding existing statewide survey tools; and promoting practice-level asthma registries with common data elements, as well as links between these registries and health departments so that data inform public health planning in addition to health care delivery. Reduce fragmentation and facilitate consistent access to needed services and supplies across the population. For example, articulate minimum services needed to provide effective asthma management, and minimum public and private insurance benefits necessary to access these services. Build capacity in localities to deliver or promote proven models for home visiting, education, and provision of appropriate materials, supplies and other needed services. Such models exist in many places in or near Massachusetts, including Connecticut, Boston and Cambridge, for example. Work with payers to develop standards and training programs for the delivery of community and home-based services for which there is insufficient supply. Promote sustained communication between those providing community-based services, including local public health agencies, community-based organization and schools, and the patient s primary care physician or care coordinator/case manager.
7 Provide guidance on asthma management in schools and resource school nurses sufficiently so they can maximize their effectiveness in monitoring and controlling students asthma. Increase awareness of work-related asthma among providers, among employers through wellness campaigns, and among employees through collaboration with unions and other organizations. Make the primary prevention of asthma a priority by coordinating the development of a Roadmap or Agenda for reducing asthma incidence in Massachusetts through research and policy which could be implemented over time. Elements could include research priorities, as well as analysis and promotion of alternatives to known asthmagens. Public agencies should identify, strengthen where needed and enforce laws and regulations aimed at preventing exposures and otherwise improving social and environmental conditions. The MA Department of Public Health should encourage and provide guidance to cities and towns to ensure that their sanitary and housing codes give them the enforcement tools they need to address priority asthma problems, such as remediating homes with leaks and mold, and rodent control. It should also encourage local code enforcement. The MA Department of Public Health, the Division of Occupational Safety (DOS) at the MA Department of Labor and Workforce Development, and the federal Occupational Safety and Health Administration (OSHA) should separately and together enhance their efforts to reduce the risk of asthma onset and exacerbations in the workplace through enforcement, consultation, and education with the goal of protecting both public and private sector workers. Where standards do not exist, state governments should ensure protection and recourses for those affected. The Department of Public Health should explore issuing indoor air quality standards for all buildings. The Department of Environmental Protection and the MA Executive Office of Environmental Affairs, in collaboration with U.S. Environmental Protection Agency, should ensure that all communities meet national ambient air quality standards, and enhance programs to improve air quality (e.g., anti-idling, diesel retrofits, wood smoke, etc.). This consensus statement grew out of discussions among asthma clinicians who met in Framingham, Massachusetts, in March 2008, to begin to develop the framework and content of this document. At a conference of 100 asthma providers and leaders in June 2008, attendees commented on the recommendations, which were further refined by the Drafting Committee and the Project Coordinators. The Coordinators gratefully acknowledge the funders of this effort: The Boston Foundation, the New England regional offices of the U.S. Department of Health and Human Services and the Environmental Protection Agency, and the University of Massachusetts Lowell. We want to specifically thank Betsy Rosenfeld at DHHS (Reg. I), Marybeth Smuts at EPA (Reg. I,) Cheryl Bartlett, Suzanne Condon, Elise Pechter and Jean Zotter at the Massachusetts Department of Public Health, and Dean David Wegman of the School of Health and Environment, University of Massachusetts, Lowell for their valuable guidance and support. 7
A Business Case. for Asthma Education and Environmental Interventions. Produced by
A Business Case for Asthma Education and Environmental Interventions A program of The Medical Foundation Produced by Dr. Polly Hoppin & Molly Jacobs/UMass Lowell Laurie Stillman, Asthma Regional Council
More informationInvesting in Best Practices for Asthma: A Business Case
Investing in Best Practices for Asthma: A Business Case A program of The Medical Foundation Produced by Dr. Polly Hoppin & Molly Jacobs/UMass Lowell Laurie Stillman, Asthma Regional Council Asthma Big
More informationA Collaborative Approach to Asthma Care. Margaret Reid, RN, MPA Shari Nethersole, MD
A Collaborative Approach to Asthma Care Margaret Reid, RN, MPA Shari Nethersole, MD Assessing the Need Community needs assessment by Office of Community Health (2003 and every 3 years) Asthma was leading
More informationAttacking Chronic Disease via Community Partnerships
Attacking Chronic Disease via Community Partnerships Mary Cooley, MS,BSN,RN,CCM Director, Care Management priorityhealth.com A Healthier Approach to Healthcare priorityhealth.com Asthma Management High
More informationWelcome to the Webinar
Welcome to the Webinar A New Tool for Asthma Home Visiting Programs: The Environmental Scoring System Moderator Tracey Mitchell, RRT, AE-C, U.S. Environmental Protection Agency (EPA) Presenters Erica Marshall,
More informationAddressing Asthma Disparities from a State s Perspective. Francesca Lopez, MSPH, AE-C Program Manager Georgia Asthma Control Program
Addressing Asthma Disparities from a State s Perspective Francesca Lopez, MSPH, AE-C Program Manager Georgia Asthma Control Program Mission of the Georgia Asthma Control Program To improve asthma control
More informationHome-Based Asthma Interventions: Keys to Success
Home-Based Asthma Interventions: Keys to Success Setting the Stage Asthma affects 25 million Americans (one in every 12 people), including six million children. The costs of uncontrolled asthma -- including
More informationPriority Area: 1 Access to Oral Health Care
If you are unable to attend one of the CHARTING THE COURSE: Developing the Roadmap to Advance Oral Health in New Hampshire meetings but would like to inform the Coalition of activities and services provided
More informationAgenda. Illinois Diabetes Action Plan: What s In It for You? 10/27/2017
Illinois Diabetes Action Plan: What s In It for You? AADE IL Coordinating Body 4th Annual Symposium Making Noise About Diabetes Bloomington, IL November 3, 2017 Agenda The Burden of Diabetes IL Diabetes
More informationDelaware Oral Health Plan 2014 Goals and Objectives VISION
VISION All members of the Delaware population, regardless of age, ability, or financial status, will achieve optimal oral health through an integrated system which includes prevention, education and appropriate
More informationMassachusetts Medicaid pediatric high-risk asthma bundled payment pilot
University of Massachusetts Medical School escholarship@umms Commonwealth Medicine Publications Commonwealth Medicine 9-28-2011 Massachusetts Medicaid pediatric high-risk asthma bundled payment pilot Katharine
More informationProject 3dii: Expansion of the Home Environmental Asthma Management Program
1 Project 3dii: Expansion of the Home Environmental Asthma Management Program Asthma Primary Care Project Participation Opportunity Purpose 2 This Project Participation Opportunity is specifically targeted
More informationAt the Intersection of Public Health and Health Care: CDC s National Asthma Control Program
At the Intersection of Public Health and Health Care: CDC s National Asthma Control Program Shirl Ellis Odem Maureen Wilce Elizabeth Herman Asthma Initiative of Michigan Partnership Forum June 3, 2016
More informationinvesting in Best Practices for Asthma:
Asthma Regional Council investing in Best Practices for Asthma: A Business CAse August 2010 update AutHoRs: Polly Hoppin sc.d and Molly Jacobs, MPH, university of Massachusetts Lowell Laurie stillman,
More informationIllinois Diabetes Action Plan: What s In It for You?
Illinois Diabetes Action Plan: What s In It for You? AADE IL Coordinating Body 4th Annual Symposium Making Noise About Diabetes Bloomington, IL November 3, 2017 Agenda The Burden of Diabetes IL Diabetes
More informationHouse Committee on Energy and Commerce House Committee on Energy and Commerce. Washington, DC Washington, DC 20515
February 28, 2018 The Honorable Michael Burgess, M.D. The Honorable Gene Green Chairman Ranking Member Subcommittee on Health Subcommittee on Health House Committee on Energy and Commerce House Committee
More informationALAMEDA COUNTY PFS ASTHMA INITIATIVE
ALAMEDA COUNTY PFS ASTHMA INITIATIVE The Burden of Asthma in Alameda County Average cost of pediatric hospitalization: $16,545 Average cost of ED visit: $3,500 Average cost of EMS Response: $2,944 17%
More informationPeer Work Leadership Statement of Intent
Peer Work Leadership Statement of Intent A National Professional Association for Mental Health Peer Workers Peer work leaders from Queensland, Victoria and NSW and colleagues from the USA participated
More informationDiabetes Prevention and Control A Comprehensive Process. Commissioner John Auerbach Massachusetts Department of Public Health
Diabetes Prevention and Control A Comprehensive Process Commissioner John Auerbach Massachusetts Department of Public Health Like everywhere else, Massachusetts has a growing diabetes problem Diabetes
More informationOptimal Asthma Control Data Specifications
Optimal Asthma Control Data Specifications Final Version December 2009: Updated for Population Identification April 2010 MNCM Measure Description Methodology Rationale Composite measure of the percentage
More informationWashington State Collaborative Oral Health Improvement Plan
Washington State Collaborative Oral Health Improvement Plan 2009-2014 Prioritization Criteria (non-financial): Strategic Area I: System Infrastructure (Partnerships, Funding, Technology) Goal 1: Mobilize
More informationAddressing Asthma in New Jersey. Overall Objectives. CDC National Asthma Control Program Foundation
Addressing Asthma in New Jersey Lisa Jones, RN, MSN Coordinator NJ Department of Health and Senior Services March 14, 2012 Overall Objectives To increase participants knowledge of the National Asthma Control
More informationAsthma: A Growing Epidemic By Glen Andersen
National Conference of State Legislatures ENVIRONMENTAL H EALTH SERIES May 2000 No. 4 Asthma: A Growing Epidemic By Glen Andersen OVERVIEW Rates for asthma have steadily increased over the past 20 years
More informationNORTH CAROLINA CARDIOVASCULAR STATE PLAN I N T R O D U C T I O N S, G O A L S, O B J E C T I V E S A N D S T R A T E G I E S
NORTH CAROLINA CARDIOVASCULAR STATE PLAN 2011-2016 I N T R O D U C T I O N S, G O A L S, O B J E C T I V E S A N D S T R A T E G I E S PRIMARY PREVENTION OF CARDIOVASCULAR DISEASE THROUGH HEALTHY LIVING
More informationFebruary, 20, Senator Orrin G. Hatch Senator Ron Wyden U.S. Senate Committee on Finance Washington, DC Dear Senators Hatch and Wyden,
Senator Orrin G. Hatch Senator Ron Wyden U.S. Senate Committee on Finance Washington, DC 20510 February, 20, 2017 Dear Senators Hatch and Wyden, We are pleased to respond to your request seeking policy
More informationIntroduction and Purpose
Proceedings Illinois Oral Health Summit September 11, 2001 Illinois Response to the Surgeon General s Report on Introduction and Purpose The landmark Illinois Oral Health Summit convened on September 11,
More informationLeadingAge and Hospice Members: Partners in Providing Quality Care to Older Adults. January 2019
LeadingAge and Hospice Members: Partners in Providing Quality Care to Older Adults January 2019 Hospice is a unique service delivery model providing holistic care to individuals at the end of their lives.
More informationOral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD
Oral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD 1. I am Dr. Philip A Pizzo, Dean of the Stanford University School of Medicine as well as Professor of Pediatrics and
More informationHow to Design a Tobacco Cessation Insurance Benefit
How to Design a Tobacco Cessation Insurance Benefit All tobacco users need access to a comprehensive tobacco cessation benefit to help them quit. A comprehensive tobacco cessation benefit includes: Nicotine
More informationCase Management and Care Coordination: Two Successful Models
Case Management and Care Coordination: Two Successful Models Asthma Educator Sharing Day October 17, 2011 Karen Meyerson, MSN, RN, FNP-C, AE-C Asthma Network of West Michigan Jan Roberts, RN, BSN, AE-C
More informationC-Change Making the Business Case Questions & Answers
C-Change Making the Business Case Questions & Answers How To Use This Document Following are a set of questions and answers about C-Change s multi-year Making the Business Case for cancer prevention and
More information2012 Chronic Respiratory. Program Evaluation. Our mission is to improve the health and quality of life of our members
2012 Chronic Respiratory Program Evaluation Our mission is to improve the health and quality of life of our members 2012 Chronic Respiratory Program Evaluation Program Title: Chronic Respiratory Program
More informationCommunity Benefit Strategic Implementation Plan. Better together.
Community Benefit Strategic Implementation Plan 2016 2019 Better together. Table of Contents Introduction... 4 Priority 1: Community Health Infrastructure... 5 Objective 1.1: Focus resources strategically
More information5/1/2018. Asthma Healthy Schools. New England School Nurse Conference Addressing Asthma Within a Coordinated School Health Program
New England School Nurse Conference 2018 Asthma Healthy Schools Worcester Public Schools Debra McGovern, DNP May 5, 2018 Addressing Asthma Within a Coordinated School Health Program Center for Disease
More informationState Innovations: Oral Health Integration in Statewide Delivery System and Payment Reform
State Innovations: Oral Health Integration in Statewide Delivery System and Payment Reform Made possible by the Washington Dental Service Foundation Wednesday, June 22, 2016 2:00-3:00 pm ET For Audio Dial:
More informationDevelopmental Disabilities Conference The California Legislative Blue Ribbon Commission on Autism 03/07/2008 1
7th Annual Developmental Disabilities: An Update for Health Professionals March 7, 2008 The California Legislative Blue Ribbon Commission on Autism: An Opportunity to Achieve Real Change for Californians
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationSTATE AND COMMUNITY MODELS FOR IMPROVING ACCESS TO DENTAL CARE FOR THE UNDERSERVED
American Dental Association STATE AND COMMUNITY MODELS FOR IMPROVING ACCESS TO DENTAL CARE FOR THE UNDERSERVED October 2004 Executive Summary American Dental Association. State and Community Models for
More informationHuman and Fiscal Implications of Heart Disease and Stroke
1 Texas Council on Cardiovascular Disease and Stroke Report for the 84 th Regular Texas Legislative Session Heart Disease and Stroke in Texas: A Call to Action Enacted by the 76 th Legislature (House Bill
More informationThe National Vaccine Advisory Committee: Reducing Patient and Provider Barriers to Maternal Immunizations
The National Vaccine Advisory Committee: Reducing Patient and Provider Barriers to Maternal Immunizations Executive Summary Maternal immunization provides important health benefits for pregnant women and
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationUS H.R.6 of the 115 th Congress of the United States Session
US H.R.6 of the 115 th Congress of the United States 2017-2018 Session This Act may be cited as the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities
More informationMinistry of Health and Long-Term Care. Palliative Care. Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW
Chapter 1 Section 1.08 Ministry of Health and Long-Term Care Palliative Care Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW # of Status of Actions Recommended Actions
More informationEvaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements.
Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services June 21, 2012 Featured Speaker David Hoffman M.Ed. C.C.E, NYS DOH Office of Health Insurance Programs Clinical Associate
More informationPublic Policy Agenda 2016
Public Policy Agenda 2016 1 in 26 Americans will have epilepsy over the course of their lifetime. Nearly three million children and adults in the United States have epilepsy. Epilepsy is defined as an
More information5. Expand access to proven, effective treatments for tobacco addiction
National Tobacco Cessation Collaborative Tobacco Cessation Priorities for the Nation Partner Activities 5. Expand access to proven, effective treatments for tobacco addiction American Academy of Family
More informationA1. Does your government have a formal, written diabetes policy or strategy?
Survey of Diabetes Programs and Services in Canada Canadian Diabetes Association Diabetes Progress Report A1. Does your government have a formal, written diabetes policy or strategy? Yes. In October 2002,
More informationIntroducing NCCN Academy for Excellence & Leadership in Oncology April Program Overview
Introducing NCCN Academy for Excellence & Leadership in Oncology April 2009 Program Overview In 2009, NCCN will launch the NCCN Academy for Excellence & Leadership in Oncology, a series of oncology certificate
More informationASTHMA CARE FOR CHILDREN BASKET OF CARE SUBCOMMITTEE Report to: Minnesota Department of Health. June 22, 2009
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp ASTHMA CARE FOR CHILDREN
More informationEHR Developer Code of Conduct Frequently Asked Questions
EHR Developer Code of Conduct Frequently Asked Questions General What is the purpose of the EHR Developer Code of Conduct? EHR Association (the Association) members have a long tradition of working with
More informationSeptember 22, National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC Prescription Opioid Epidemic
National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC 20036 RE: Prescription Opioid Epidemic On behalf of America s Health Insurance Plans (AHIP), thank you for your leadership
More informationHHSC LAR Request. Substance Abuse Disorder Coalition. Contact Person: Will Francis Members:
HHSC LAR Request Substance Abuse Disorder Coalition Contact Person: Will Francis wfrancis.naswtx@socialworkers.org Members: NAMI Texas Children s Defense Fund Texas Communities for Recovery National Association
More informationRI Health Plan 2018 Annual Report Form on Tobacco Cessation Benefits
RI Health Plan 2018 Annual Report Form on Tobacco Cessation Benefits Purpose: To collect data from each health plans fully insured accounts for policies issued in RI to insured members regardless of where
More informationPartnerships and collaboration for a strong primary health care system
Jan Child, Chief Operating Officer Peninsula Health 25 th September 2014 Partnerships and collaboration for a strong primary health care system Frankston and Mornington Peninsula - FMP 2 A beautiful part
More informationMarch 31, Commissioner Barbara Leadholm Department of Mental Health 25 Staniford Street Boston, MA Dear Commissioner Leadholm:
March 31, 2008 Commissioner Barbara Leadholm Department of Mental Health 25 Staniford Street Boston, MA 02114 Dear Commissioner Leadholm: The Massachusetts Transformation Committee (Transcom) and its Integrating
More informationRe: Trust for America s Health Comments on Biennial Implementation Plan for the National Health Security Strategy
Dr. Nicole Lurie, MD, MSPH Assistant Secretary for Preparedness & Response Department of Health and Human Services Washington, DC 20201 Re: Trust for America s Health Comments on Biennial Implementation
More informationOCTOBER EOEA and the Alzheimer s Association have organized implementation of the plan around its five major recommendations:
1 MASSACHUSETTS ALZHEIMER S DISEASE AND RELATED DISORDERS STATE PLAN RECOMMENDATIONS TWO-YEAR PROGRESS REPORT OCTOBER 2014 In February 2012, Massachusetts released a set of Alzheimer s Disease and Related
More informationHealthVoices. Health and Healthcare in Rural Georgia. The perspective of rural Georgians
HealthVoices Health and Healthcare in Rural Georgia Issue 3, Publication #100, February 2017 Samantha Bourque Tucker, MPH; Hilton Mozee, BA; Gary Nelson, PhD The perspective of rural Georgians Rural Georgia
More informationGOALS, OBJECTIVES, & STRATEGIES
GOALS, OBJECTIVES, & STRATEGIES HIGH PERFORMING ORGANIZATION Goal 1 Enhance the Bureau for Public Health s ability to function as an effective, efficient and flexible organization. a. Leadership skills
More informationEpilepsy Across the Spectrum Promoting Health and Understanding
RECOMMENDATIONS MARCH 2012 For more information visit www.iom.edu/epilepsy Epilepsy Across the Spectrum Promoting Health and Understanding Much can be done to improve the lives of people with epilepsy.
More informationAttn: Alicia Richmond Scott, Pain Management Task Force Designated Federal Officer
March 18, 2019 Office of the Assistant Secretary of Health U.S. Department of Health and Human Services 200 Independence Avenue SW, Room 736E Washington, DC 20201 Attn: Alicia Richmond Scott, Pain Management
More informationHealth Care Mitigation Grants Program Final Report
Health Care Mitigation Grants Program Final Report Grant Recipient: LB Memorial Med Ctr dba Miller Children s Hospital LB, LBACA Contract Number: HD-7870 Award Amount: 710,660 Date Submitted: 9/29/2016
More informationNational Asthma Educator Certification Board Detailed Content Outline
I. THE ASTHMA CONDITION 9 20 1 30 A. Pathophysiology 4 6 0 10 1. Teach an individual with asthma and their family using simple language by illustrating the following with appropriate educational aids a.
More informationPublic Dissemination
1. THE ASTHMA CONDITION 9 18 3 30 A. Pathophysiology 4 6 0 10 1. Teach an individual with asthma and their family using simple language by illustrating the following with appropriate educational aids a.
More informationNebraska Diabetes Prevention Action Plan
Nebraska Diabetes Prevention Action Plan 2016 2018 Promoting Awareness and Increasing Coverage to Support Scaling and Sustaining the National Diabetes Prevention Program in Nebraska. Table of Contents
More informationWho s sick at school: Linking poor school conditions and health disparities for Boston s children
Who s sick at school: Linking poor school conditions and health disparities for Boston s children Written by: Tolle Graham, MassCOSH Jean Zotter, BUAC Marlene Camacho, intern The Massachusetts Coalition
More informationOral Health: An Essential Component of Primary Care. Executive Summary
Oral Health: An Essential Component of Primary Care Executive Summary June 2015 Executive Summary The Problem Oral health is essential for healthy development and healthy aging, yet nationwide there is
More informationManagement of Childhood Asthma and Healthcare Reform
Management of Childhood Asthma and Healthcare Reform Floyd J. Malveaux, MD, PhD Executive VP and Executive Director Merck Childhood Asthma Network, Inc. Chicago Asthma Consortium May 10, 2011 Management
More information2017 Chronic Respiratory. Program Evaluation. Our mission is to improve the health and quality of life of our members
2017 Chronic Respiratory Program Evaluation Our mission is to improve the health and quality of life of our members 2017 Chronic Respiratory Program Evaluation Program Title: Chronic Respiratory Program
More informationMultisectoral action for a life course approach to healthy ageing
SIXTY-SEVENTH WORLD HEALTH ASSEMBLY Provisional agenda item 14.4 21 March 2014 Multisectoral action for a life course approach to healthy ageing 1. The attached document EB134/19 was considered and noted
More informationInclude Substance Use Disorder Services in New Hampshire Medicaid Managed Care
Include Substance Use Disorder Services in New Hampshire Medicaid Managed Care New Futures mission is to advocate, educate, and collaborate to reduce alcohol and other drug problems in New Hampshire. Expanding
More informationNational Environmental Leadership Award in Asthma Management Sample Health Plan Application. Sample
National Environmental Leadership Award in Asthma Management Health Plan Application Area 1. Comprehensive Asthma Management Program Statewide Health Plan (SHP) supports our members with asthma and the
More informationNational Alzheimer s project U.S.
National Alzheimer s project U.S. Requires the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the National Alzheimer s Project to: Create and maintain an integrated national
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical
More informationASTHMA EXACERBATIONS:
ASTHMA EXACERBATIONS: IDENTIFYING AND ADDRESSING THE ROOT CAUSES MARCH 20, 2017 Speakers Anna Flattau, MD, MSc, MS, Senior Assistant Vice President Chief Clinical Officer OneCity Health Services/NYC Health
More informationThe burden of asthma in the United States varies
Supplement ELIMINATING ASTHMA DISPARITIES A Review of Potential State and Local Policies To Reduce Asthma Disparities* Sarah K. Lyon-Callo, MA, MS; Leslie P. Boss, MPH, PhD ; and Marielena Lara, MD, MPH
More informationH. R To amend the Public Health Service Act with respect to pain care. IN THE HOUSE OF REPRESENTATIVES
I 1TH CONGRESS 1ST SESSION H. R. To amend the Public Health Service Act with respect to pain care. IN THE HOUSE OF REPRESENTATIVES JANUARY, 0 Mrs. CAPPS (for herself and Mr. ROGERS of Michigan) introduced
More informationWisconsin Dementia Care Guiding Principles
Page 1 of 8 Draft Dementia Care Guiding Principles There must be a widely shared understanding of appropriate and high quality care for people with dementia in order to have a dementia-capable system of
More informationArizona Health Improvement Plan
Arizona Health Improvement Plan Arizona Alliance for Community Health Centers February 4, 2015 Will Humble, MPH ADHS Director Leading Health Issues State Health Assessment Obesity Behavioral Health Services
More informationNational Cancer Programme. Work Plan 2014/15
National Cancer Programme Work Plan 2014/15 Citation: Ministry of Health. 2014. National Cancer Programme: Work Plan 2014/15. Wellington: Ministry of Health. Published in December 2014 by the Ministry
More informationIncreasing Adult Immunization Rates in the US Through Data and Quality: A Roadmap
Increasing Adult Immunization Rates in the US Through Data and Quality: A Roadmap Avalere Health An Inovalon Company November 16, 2017 In Partnership with GSK Agenda 1 2 3 4 5 Welcome & Introductions Overview:
More informationAn Overview of Asthma - Diagnosis and Treatment
An Overview of Asthma - Diagnosis and Treatment Definition of Asthma: Asthma is a common chronic disease of children and adults. Nationally, more than 1 in 14 Americans report having asthma and as many
More informationThe NHS Cancer Plan: A Progress Report
DEPARTMENT OF HEALTH The NHS Cancer Plan: A Progress Report LONDON: The Stationery Office 9.25 Ordered by the House of Commons to be printed on 7 March 2005 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL
More informationWorld Health Organization. A Sustainable Health Sector
World Health Organization A Sustainable Health Sector Response to HIV Global Health Sector Strategy for HIV/AIDS 2011-2015 (DRAFT OUTLINE FOR CONSULTATION) Version 2.1 15 July 2010 15 July 2010 1 GLOBAL
More informationObjectives. Basic strategies to gain visibility. Placing Oral Health on the Health Care Agenda. Disclosure my personal biases.
Placing Oral Health on the Health Care Agenda Lessons Learned from U.S. Dushanka V. Kleinman DDS, MScD Symposium on Access and Care University of Toronto May, 2004 Objectives To present challenges and
More information39th Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland. 6-8 December 2016
8 December 2016 39th Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland 6-8 December 2016 Decisions The UNAIDS Programme Coordinating Board, Recalling that all aspects of UNAIDS work
More informationPhase I Planning Grant Application. Issued by: Caring for Colorado Foundation. Application Deadline: July 1, 2015, 5:00 PM
Phase I Planning Grant Application Issued by: Caring for Colorado Foundation Application Deadline: July 1, 2015, 5:00 PM Executive Summary Caring for Colorado is currently accepting applications for SMILES
More informationStrategies for Federal Agencies
Confronting Pain Management and the Opioid Epidemic Strategies for Federal Agencies Over the past 25 years, the United States has experienced a dramatic increase in deaths from opioid overdose, opioid
More informationRHODE ISLAND CANCER PREVENTION AND CONTROL
RHODE ISLAND CANCER PREVENTION AND CONTROL 2013 2018 STRATEGIC PLAN TABLE OF CONTENTS Purpose 1 The Partnership to Reduce Cancer 3 Prevention 4 Tobacco 4 Healthy Weight 6 Nutrition 6 Physical Activity
More informationSOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS)
SOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS) REVIEW AND DEVELOPMENT PLAN 2013 2016 1 EXECUTIVE SUMMARY Solihull Bereavement Counselling Service (SBCS) is a charity which provides specialist bereavement
More informationOral Health Provisions in Recent Health Reform: Opportunities for Public-Private Partnerships
Oral Health Provisions in Recent Health Reform: Opportunities for Public-Private Partnerships 2010 National Primary Oral Health Conference Tuesday, October 26, 2010 Catherine M. Dunham, Executive Director
More informationApril 1, Dear Members of the Pain Management Best Practices Inter-Agency Task Force,
April 1, 2019 U.S. Department of Health and Human Services Office of the Assistant Secretary for Health 200 Independence Avenue, S.W., Room 736E, Attn: Alicia Richmond Scott, Task Force Designated Federal
More informationCancer prevention and control in the context of an integrated approach
SEVENTIETH WORLD HEALTH ASSEMBLY A70/A/CONF./9 Agenda item 15.6 25 May 2017 Cancer prevention and control in the context of an integrated approach Draft resolution proposed by Brazil, Canada, Colombia,
More informationHealth Insurance Plans Approaches to Asthma Management: 2006 Assessment
America s Health Insurance Plans Health Insurance Plans Approaches to Asthma Management: 2006 Assessment Supported through a cooperative agreement with the United States Environmental Protection Agency
More informationNATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Chronic fatigue syndrome/myalgic encephalomyelitis: diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis in
More informationFranklin County The Health of Our Communities
Franklin County The Health of Our Communities Paul Smith s College May 1, 2013 1 Welcome and Introductions Meeting Agenda New York State s Health Improvement Plan (Prevention Agenda 2013-2017) Franklin
More informationPublic health dimension of the world drug problem
SEVENTIETH WORLD HEALTH ASSEMBLY A70/29 Provisional agenda item 15.3 27 March 2017 Public health dimension of the world drug problem Report by the Secretariat 1. The Executive Board at its 140th session
More informationApproved Care Model for Project 3dii: Expansion of the Home Environmental Asthma Management Program
1 Approved Care Model for Project 3dii: Expansion of the Home Environmental Asthma Management Program OneCity Health Webinar January 6, 2016 Overview of presentation 2 Approach to care model development
More informationFifth report of Committee A
SIXTY-EIGHTH WORLD HEALTH ASSEMBLY (Draft) A68/73 26 May 2015 Fifth report of Committee A (Draft) Committee A held its twelfth and thirteenth meetings on 25 May 2015 under the chairmanship of Dr Eduardo
More informationThe Children s Partnership
The Children s Partnership The State Oral Health Plan Development Process CPEHN Spring Convening Series on Oral Health Equity Riverside, CA May 4, 2016 Jenny Kattlove Senior Director, Programs Our Mission
More information